Provider Demographics
NPI:1356124259
Name:CABRERA, EDUARDO (ARNP)
Entity type:Individual
Prefix:MR
First Name:EDUARDO
Middle Name:
Last Name:CABRERA
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6514 SW 114TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-1956
Mailing Address - Country:US
Mailing Address - Phone:786-325-8981
Mailing Address - Fax:
Practice Address - Street 1:2866 E OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33306-1815
Practice Address - Country:US
Practice Address - Phone:954-834-1280
Practice Address - Fax:954-533-1252
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11028094207PE0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine